MEDICARE: CAITLYN TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		TX

General Provider Information

NPI Number	:	1306327150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLYN TAYLOR

Provider Business Mailing Address
First Line	:	7500 SAN FELIPE ST STE 990
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1708
Country	:	US
Telephone Number	:	281-826-3382
Fax Number	:	407-501-8641

Provider Business Practice Location Address
First Line	:	16712 HUFFMEISTER RD BLDG 500
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-8050
Country	:	US
Telephone Number	:	706-221-1208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	05/13/2024

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Directions to “ CAITLYN TAYLOR ” Practice Location

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